Tiêu đề RECALLS 2 - NP4 - SC ✅

RECALLS 2 EXAMINATION NURSING PRACTICE IV CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) NOV 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE IV” on the box provided Situation 1 – Nurse Alex cares for a terminally ill client with cancer. 1. Nurse Yolan assesses the client for depression. Which of the following is a key indicator for clinical depression? A. Anger due to pain experience B. Feeling of excessive guilt C. Anorexia and weight loss D. Inability to care for one’s physical self 2. The client has difficulty sleeping. Which of the following interventions is LEAST helpful for Nurse Yolan to incorporate in her care plan? A. Instruct the client to drink herbal tea. B. Give warm milk at bedtime C. Perform relaxation routine such as massage, imagery or music D. Instruct the client to drink black tea. 3. The care plan for the client includes family support. Which of the following is MOST appropriate for the family to establish a relationship with the health care team? Nurse Yolan should ___________: A. Give permission to the family to take time to maintain friendship with the health care team. B. Discuss the roles of the family members to the health care team. C. Explain the roles of all members of the interdisciplinary team. D. Provide a brief explanation to the family member about the care being delivered to the client. 4. The client appears to be dehydrated. The family members are discussing whether their loved one should be given intravenous fluid. Which of the following concepts about dehydration in terminally ill clients should guide Nurse Yolan? A. Peripheral edema occurs because of fluid overload. B. Thirst is an indication of dehydration. C. Terminally ill clients are hydrated through oral and intravenous routes. D. All interventions for terminally ill client should be directed towards comfort and reduction of symptoms. 5. The client show signs of imminent death. Nurse Yolan recognizes cardiovascular indicators of imminent death which are the following EXCEPT __________: A. bradycardia B. Irregular heart rate C. tachycardia D. lowered blood pressure Situation 2 – A 65-year old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer. 6. Based on information gathered, the nurse writes a nursing diagnosis. Which of the following diagnoses is MOST appropriate? A. Deficient knowledge related to self-care and risk prevention. B. Fear secondary to the diagnosis of cancer. C. Risk for urinary infection D. Risk for impaired urinary elimination 7. To help manage incontinence, the nurse instructs the patients to do which of the following: A. Eat foods rich in fiber B. Increase fluid intake. C. Take in medications to manage pain. D. Perform perineal muscle exercises 8. The patient asks for treatment option for his condition. The Nurse explains that treatment options are based on which of the following: A. gender B. ability of the patient to manage physical and emotional implications of incontinence C. Socio-economic status D. grade and stage of the disease 9. The patient asks the nurse what the physician meant about his prostate cancer as Stage C or T3. The nurse explains that the tumor is ______________: A. palpable and has spread to other organs and often to distant sites such as bones and lymph nodes. B. palpable and has spread beyond the prostate but not to other organs. C. confined to the prostate and was not palpable during digital rectal examination. D. confined to the prostate and was not palpable during digital rectal examination. 10. The nurse recalls the staging and classification of prostate cancer. Which of the following statements is TRUE? A. the gleason grading system is usually used for hematological cancers but not prostate cancer. B. the normal prostate specific antigen (PSA) range under 40 years of age is less than 4 to 6 ng/mL. C. at least two separate biopsy specimens are graded based on their differentiation from normal prostate cells. D. A score of D is less invasive than a score of B in the cancer staging system. Situation 3 – You are newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources. 11. You are oriented on health care economics. The study of economics focuses on how choices are made to overcome a scarcity of resources. Which of the following statements BEST illustrates health care economics __________: 1. Providing less health care services that is optimal in order to contain costs. 2. Using individuals with less knowledge and skill to perform health care services usually performed by people with advanced knowledge and training. 1 | Page